Cystoduodenostomy. New Perspectives
Overview
Authors
Affiliations
Cystoduodenostomy for internal drainage of pancreatic pseudocysts has been both condemned and condoned. The current study reports the largest personal experience with a single method of cystoduodenostomy. Transduodenal cystoduodenostomy was performed in 14 cases followed an average of 39 months without mortality, fistula formation, abscess, or hemorrhage. Recurrent pseudocysts developed in two patients, neither in the pancreatic head. In a 15-year combined review of surgical procedures for pancreatic pseudocyst, transduodenal cystoduodenostomy evidenced mortality rates similar to other forms of internal drainage. In direct contrast, laterolateral cystoduodenostomy by suture anastomosis resulted in a 70% mortality rate and should rarely, if ever, be performed.
The Surgical Management of Pancreatic Pseudocysts: A Narrative Review.
Jivani A, Shinde R, Nagtode T, Vaidya K, Goel S Cureus. 2024; 16(9):e69055.
PMID: 39391462 PMC: 11465202. DOI: 10.7759/cureus.69055.
Giant pseudocyst of the pancreas: A report of three cases.
Igwe P, Ray-Offor E, Karibi E, Okeke U, Ugwa O, Jebbin N Int J Surg Case Rep. 2020; 77:284-297.
PMID: 33190104 PMC: 7672251. DOI: 10.1016/j.ijscr.2020.10.110.
A giant pancreatic pseudocyst treated by cystogastrostomy.
Wang G, Misra S BMJ Case Rep. 2015; 2015.
PMID: 25804943 PMC: 4386313. DOI: 10.1136/bcr-2014-207271.
The role of surgery in the management of acute pancreatitis.
Ranson J Ann Surg. 1990; 211(4):382-93.
PMID: 2181949 PMC: 1358022. DOI: 10.1097/00000658-199004000-00002.
[Results of surgical therapy of pancreatic pseudocysts].
Bottger T, Steegmuller K, Junginger T Langenbecks Arch Chir. 1991; 376(1):42-9.
PMID: 2034004 DOI: 10.1007/BF00205127.